Average Medicaid Pregnancy & Prenatal Care Payments in Fresno, CA: $14.81
Avg. Paid
$14.81
Range
$0.00 – $213.44
Total Claims
153,894
Providers
79
Typical Payment Range
Typical Medicaid Pregnancy & Prenatal Care payments fall between $70.83 and $584.62 per claim (median: $133.32). The top 10% of payments exceed $983.55.
Based on per-provider averages across all Medicaid claims in this category.
Prenatal care services monitor the health of the mother and developing baby throughout pregnancy, including routine exams, ultrasounds, and lab work.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Pregnancy & Prenatal Care in Fresno, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ron Lichtenstein
2210 E Illinois Ave |
$15.59 | 26,431 | 18,972 |
|
Fenglaly C Lee
2944 Fresno St |
$12.88 | 12,876 | 9,159 |
|
Wade Alden Dickinson
3152 N Millbrook Ave |
$19.95 | 11,504 | 8,287 |
|
Omni Womens Health Medical Group Inc
3812 N 1St St |
$0.14 | 10,592 | 8,075 |
|
Vasanth M Vishwanath
7075 N Maple Ave |
$12.51 | 9,375 | 6,728 |
|
Community Foundation Medical Group
7370 N Palm Ave Ste 101 |
$0.51 | 8,452 | 6,599 |
|
Valley Women'S Healthcare Medical Group, Inc
5293 N 1St St |
$1.35 | 6,963 | 4,918 |
|
Camilla Louise Marquez
650 W Alluvial Ave |
$18.81 | 6,304 | 4,412 |
|
Ryan C Johnson
2505 E Divisadero St |
$0.03 | 4,728 | 3,399 |
|
Tina J Dhillon-Ashley
1945 N Fine Ave Ste 100 |
$26.36 | 4,525 | 2,827 |
|
Corinna Liu
290 N Wayte Ln |
$8.95 | 3,738 | 3,050 |
|
Gail Maureen Mallard-Warren
6107 N 1St St |
$17.90 | 3,523 | 2,465 |
|
Auther Adams
2740 S Elm Ave |
$67.45 | 3,196 | 2,229 |
|
Daniel I Hernandez
1187 E Herndon Ave |
$7.77 | 3,113 | 2,178 |
|
Vasanth M Vishwanath M.D. Inc
7075 N Maple Ave Ste 102 |
$7.70 | 2,373 | 1,867 |
|
University Faculty Associates, Inc.
2625 E Divisadero St |
$14.12 | 2,122 | 1,968 |
|
Saint Agnes Medical Foundation
1303 E Herndon Ave |
$2.12 | 2,104 | 1,888 |
|
Joginder S Matharu
1383 E Herndon Ave |
$37.15 | 2,060 | 1,388 |
|
Brian L Morgan
2210 E Illinois Ave Ste 301 |
$4.85 | 2,043 | 1,625 |
|
Julie Nicole
3032 Tulare St |
$30.07 | 1,921 | 1,779 |
|
Veena Rani Mamidi
2740 S Elm Ave |
$71.58 | 1,691 | 1,404 |
|
Paul Witold Ostoya
1095 E Warner Ave |
$4.96 | 1,656 | 944 |
|
Luis A Murrain
7005 N Milburn Ave |
$60.52 | 1,593 | 1,204 |
|
Helen Elizabeth Price
2760 S Elm Ave |
$0.05 | 1,310 | 912 |
|
Willie Lee Brown
6225 N Fresno St |
$13.77 | 1,073 | 712 |
|
Matsam Medical Group, Inc.
1383 E Herndon Ave |
$0.00 | 1,066 | 645 |
|
Charles J Gavin
6327 N Fresno St Ste 101 |
$10.31 | 998 | 970 |
|
Sharon Monica Kopacz
7050 N Recreation Ave |
$10.67 | 995 | 596 |
|
Robin R. Linscheid Janzen
2823 Fresno St |
$4.77 | 863 | 611 |
|
Shelley Allison Mccormack
2210 E Illinois Ave Ste 408 |
$60.44 | 838 | 710 |
|
Omni Family Health
6107 N 1St Street |
$0.07 | 837 | 505 |
|
Alma Bustamante Dayanghirang
2760 S Elm Ave |
$14.71 | 836 | 609 |
|
Rebecca Lynn Murphy Evangelista
2823 Fresno St |
$60.61 | 833 | 725 |
|
Janice Stain
1350 S Orange Ave |
$0.28 | 823 | 617 |
|
Peter Theodore Nassar
7202 N Millbrook Ave Ste 206 |
$11.53 | 806 | 709 |
|
Jeffrey Thomas
2823 Fresno St |
$74.56 | 682 | 638 |
|
Paul Madsen
290 N Wayte Ln |
$8.30 | 632 | 489 |
|
Kenneth M. Royle
7300 N Fresno St |
$9.45 | 621 | 518 |
|
Paul A White
7050 N Recreation Ave Ste 103 |
$10.59 | 557 | 446 |
|
Anubhav Agrawal
1379 E Herndon Ave |
$9.37 | 554 | 470 |
|
Jolana R. Woodruff
2348 W Swift Ave |
$0.11 | 554 | 399 |
|
Family Healthcare Network
5166 E Olive Ave |
$0.00 | 528 | 378 |
|
W L Brown Medical Corporation
1221 E Spruce Ave |
$0.00 | 492 | 328 |
|
Stewart Mason
1374 E Alluvial Ave |
$16.75 | 423 | 323 |
|
Elizabeth A Woods
2335 E Kashian Ln |
$23.54 | 391 | 310 |
|
Lee Schilling
290 N Wayte Ln |
$13.05 | 385 | 370 |
|
John Zweifler
290 N Wayte Ln |
$0.00 | 377 | 248 |
|
Oscar Nathaniel Young
7202 N Millbrook Ave Ste 206 |
$14.81 | 377 | 300 |
|
Kristeen Leigh Alatriste
2760 S Elm Ave |
$0.17 | 363 | 243 |
|
Gopal Reddy Gade
6183 N Fresno St |
$4.01 | 312 | 219 |
What to Expect: Pregnancy & Prenatal Care
Prenatal visits occur monthly in the first two trimesters, then more frequently. Early visits include a full health history, blood work, and dating ultrasound. Subsequent visits check blood pressure, weight, urine, and fetal heartbeat. Anatomy ultrasound is done around 20 weeks. Glucose screening occurs at 24-28 weeks. Visits become weekly in the final month.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 59425 | Antepartum care 4-6 visits | $61.80 | 3,944,438 | 4,039 |
| 59426 | Antepartum care 7+ visits | $128.57 | 1,377,597 | 2,059 |
| 59430 | Postpartum care only | $83.88 | 974,460 | 3,800 |
| 59409 | Vaginal delivery only | $603.80 | 683,557 | 3,289 |
| 59514 | Cesarean delivery only | $402.77 | 268,540 | 1,509 |
| 59400 | Routine obstetric care vaginal | $1,660 | 177,823 | 996 |
| 59410 | Vaginal delivery w/postpartum | $808.16 | 68,014 | 583 |
| 59515 | Cesarean delivery w/postpartum | $663.35 | 28,695 | 217 |
| 59510 | Routine obstetric care cesarean | $1,678 | 25,421 | 152 |
| 59612 | VBAC delivery only | $878.81 | 56 | 3 |
| 59620 | Repeat cesarean delivery only | $314.45 | 26 | 1 |
| 59610 | Routine OB care VBAC | — | — | — |
| 59614 | VBAC delivery w/postpartum | — | — | — |
| 59618 | Routine OB care repeat cesarean | — | — | — |
| 59622 | Repeat cesarean w/postpartum | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Pregnancy & Prenatal Care cost in Fresno, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Fresno, CA is $14.81 per claim, based on 153,894 claims from 79 providers. Typical payments fall between $70.83 and $584.62. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Pregnancy & Prenatal Care in Fresno, CA?
There are 79 Medicaid providers offering Pregnancy & Prenatal Care related services in Fresno, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Fresno, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Fresno, CA ranges from $0.00 to $213.44 per claim, with an average of $14.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
Indianapolis, IN
Avg $91.13
294,166 claims · 246 providers
Bakersfield, CA
Avg $112.46
262,587 claims · 74 providers
New York, NY
Avg $147.67
132,979 claims · 61 providers
Sacramento, CA
Avg $28.38
124,581 claims · 68 providers
Riverside, CA
Avg $77.93
123,836 claims · 33 providers
Fort Wayne, IN
Avg $74.47
106,706 claims · 71 providers
San Bernardino, CA
Avg $92.56
105,560 claims · 25 providers
Colton, CA
Avg $93.63
98,223 claims · 20 providers
Other Procedures in Fresno, CA
Office Visit
Avg $9.04
7,118,942 claims
Substance Abuse Treatment
Avg $27.33
4,413,563 claims
Blood Work & Lab Tests
Avg $2.74
2,444,948 claims
Dental Cleaning & Exam
Avg $51.51
1,690,843 claims
Urinalysis & Urine Tests
Avg $0.70
1,247,642 claims
Vaccines & Immunizations
Avg $0.97
1,207,674 claims
Emergency Room Visit
Avg $38.60
1,035,563 claims
Behavioral & Mental Health Therapy
Avg $160.45
952,885 claims